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Document / 14 pages

Contract permit application form, Oct 2001

Machine-extracted title · confidence 95%

Application for street work permits including sewer installation and pavement repair at a World Trade Center site.

NYC-WTC_000111833–000111846

Folder label: “NO LICENSE AGREEMENTS

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Scanned page image, NYC-WTC_000111844
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NYC 9/11 Public Portal Document { APPLICATION FOR CONTRA CT PERMIT » STiNew York City 2S\s P of Transp i : ws of Permit Management and Construction Control ; 312 (REV.8-98) FRONT [PERMIT NUMBER: | PERMITTEE (IBM) #:_(2ATO corrract #: Ror -RemM2z soroucs: [im OB Oo Ox Os OCmec OpnNec Ooec OBXEC OREC OCMC# SPONSORING AGENCY: ipee Cippc Dipor Cheyvspec Dwysenc (Jeep Ciparxs (sca Chara (pa of nranz PROJECT ENGINEER wave: R_ RADHAKRISHNAN P.C, TELEPHONE #: (718 )595-27(8 NAME OF coyrractor: BeNTAMiIn KURZ BRAN USON ConTROLFEIEPHONE #:_ (718) 531-2900 BUSINESS ADDRESS:|24® BALPH Avenue PRockeyn My 11236 RESIDENT ENGINEER NAME: : TELEPHONE #:_( ) PROJECT DESCRIPTION: uL + ExTE R00 ClLEnn-ve tWITIES TO REMOVE D ‘S €Ro . COLLAYVSE OF TO. ' CONTRACT START DATE: S|isfoz cowrract comererron pare: 912102 TYPE OF PAVEMENT: ROADWAY: : SIDEWALK: . TYPE OF PERMIT(S) REQUESTED (Check All Applicable): 111-MAJOR INSTALLATION-SERER 126-TEST PITS, CORES OR BORING CRANE/SHOVEL ON STREET (2112-RAPID TRANSIT CONSTRUCTION [1132-INSTALL FENCE (20S-PLACE SHANTY/TRAILER ON O113-REPAIR WATER 0135-FINAL RESTORATION STREET (114-REPAIR SEWER 01136-DER-MAJOR INSTALLATIONS- (1208-TEMPORARY PEDESTRIAN WALK O115-REPAIR WATER/SERER WATER O211-TEMPORARY ROADWAY CLOSING 0116-FUEL OIL LINE 01137-DEP-MAJOR INSTALLATIONS- 1214-PLACE CONTAINER ON STREET (1118-RESET,REPAIR OR REPLACE SEWER (215-TEMPORARY SIDEWALK CLOSING CURB 11201-PLACE MATERTAL ON STREET 1140i-REPATR SIDEWALK 1119-PAVE STREET 202-CROSSING SIDEWALK 01402-CONSTRUCT NEW SIDEWALK 0120-TREE PIT 01203-PLACE CRANE/SHOVEL ON 0403-REPLACE SIDEWALK 1121-coNSTRUCT OR ALTER MANHOLE STREET ’ VENTILATORS AND/OR CASTING (1204-PLACE EQUIPMENT OTHER THAN OTHER TYPE OF PERMIT: ON STREET FROM STREET TO STREET = scat = 15 Maiden hang] Gold Sk. Waviam St. 11/0 SErPeLactons: G1 Gold Sk] Maidedhane | Plaka . as PTRAST IC STIPCLAS IONS: TRAST IC IST IPCLATIONS : TRAST IS ISTIPCLAT IONS: [TRAST IZ STIPILAT IONS: oes SPECIAL STIPULATIONS: Z OCMC APPROVAL BY: DATE: [MORE LOCATIONS ON REVERSE THE PERMIT TO BE GRANTED SUBJECT TO THE FOLLOWING CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL LAWS AND RULES OF THE DEPARTMENT AND OTHER APPLICABLE LAWS AND RULES. NO PERMIT SHALL BE ISSUED UNLESS THE APPLICANT HAS ON FILE ALL INSURANCE (BONDS) . APPROVED FOR THE COMMISSIONER BY: SUBMITTED BY: DATE: kLedle siqnep By: fC 0% ced Vi TEL.# ( ) DATE: AUTHORIZED REPRESENTATIVE OF APPLICANT NYC-WTC_000111844

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NYC-WTC_000111844Source: NYC Law Department, mirrored locally

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DEP Commissioner letterhead, Oct 2001 · Box DEP Box 39

NYC-WTC_000111855

Official letterhead from the NYC Department of Environmental Protection listing commissioners and contact details.

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